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BRANDEIS UNIVERSITY
STUDENT HEALTH INSURANCE PLAN

2024-2025 ACADEMIC YEAR
Spring Termination Request Form

Massachusetts Student Health Insurance Regulations allow students who paid for the Student Health Insurance Plan (SHIP) for the full 2024-2025 policy period to request termination for the spring coverage period if they are in one of the following situations:

  • Not returning to their college or university for the spring semester
  • Obtained coverage through MassHealth or a subsidized Commonwealth Connector Care plan on or before 1/1/2025


Only students in one of the two situations above can use this form. Students newly eligible for a private insurance plan do not qualify for a spring termination and will continue to utilize the student health insurance plan through 8/14/2025. 

The Spring Termination Form Deadline is January 31, 2025

Asterisk (*) denotes required field